CAJ | 학술논문

目的：评价23 G微创玻璃体切除术治疗特发性黄斑前膜的临床效果。方法采用23 G微创玻璃体切除治疗的特发性黄斑前膜33例(33眼)。记录手术时间,对比手术前后视力、黄斑厚度及眼压等。术后随访3个月。结果术后1周和术后1个月患者视力和术前视力差异有统计学意义(t=-2.958,-3.511,P =0.01；黄斑厚度术前和术后1周差异无统计学意义(t =2.027,P =0.089),和术后1个月差异有统计学意义(t=2.814,P=0.031。手术前后眼压差异无统计学意义(t=0.504,P=0.632)。所有患者均无明显手术并发症发生。结论23 G微创玻璃体切除手术治疗特发性黄斑前膜能改善视力,减轻黄斑水肿,安全有效。
목적：평개23 G미창파리체절제술치료특발성황반전막적림상효과。방법채용23 G미창파리체절제치료적특발성황반전막33례(33안)。기록수술시간,대비수술전후시력、황반후도급안압등。술후수방3개월。결과술후1주화술후1개월환자시력화술전시력차이유통계학의의(t=-2.958,-3.511,P =0.01；황반후도술전화술후1주차이무통계학의의(t =2.027,P =0.089),화술후1개월차이유통계학의의(t=2.814,P=0.031。수술전후안압차이무통계학의의(t=0.504,P=0.632)。소유환자균무명현수술병발증발생。결론23 G미창파리체절제수술치료특발성황반전막능개선시력,감경황반수종,안전유효。
Objective To evaluate the clinical effect of 23-gauge micro-invasive vitrectomy for idiopathic epimacular membrane ( IEM) . Methods Thirty-three eyes of 33 cases who underwent 23-gauge micro-invasive vitrectomy were collected. The operating time was recorded. The visual acuity, central macular thickness and intraocular pressure were compared before, 1 week and 1 month after the surgery. The follow-up time was 3 months. Results The differences between preoperative visual acuity and that 1 week and 1 month postoperativly were statistically significant (t= -2. 958, -3. 511, P=0. 01). The macular thickness 1 week after the surgery was not statistically different from that before surgery ( t =2. 027, P =0. 089). But the macular thickness 1 month after the surgery was statistically significantly lower than that before surgery (t=2. 814, P =0. 031). The difference in intraocular pressure was not statistically significant between before and after the surgery (t = 0. 504, P = 0. 632). There was no obvious complication. Conclusion 23G micro-invasive vitrectomy for idiopathic epimacular membrane can improve visual acuity, lighten the macular edema. The treatment is safe and effective.